Orthodontic digital setups

ABSTRACT

Methods for recognizing a virtual tooth surface, defining a virtual tooth coordinate system, and simulating a collision between virtual teeth are provided. Methods include receiving input data specifying a point on the rendered surface model associated with a tooth, deriving a perimeter on the surface model of the tooth based on the input data, and analyzing the surface model along a plurality of paths outwardly extending from points on the perimeter along the three-dimensional surface to produce gingival margin data. Methods also include receiving point input data that defines a point on the virtual tooth, receiving axis input data that defines first and second axes associated with the virtual tooth, computing a substantially normal vector for a portion of the tooth surface surrounding the point, and computing a coordinate system based on the axis input and the computed vector. Methods also include receiving permissible movement input data directed to permissible movement of a first virtual tooth, simulating, in three dimensional space, bringing the first virtual tooth into contact with a second virtual tooth while constraining movement of the first virtual tooth based on the permissible movement input data, and displaying data resulting from the simulation.

FIELD OF THE INVENTION

Provided are methods related to digitally enabled orthodontics and, moreparticularly, computer-based methods for assisting orthodontic diagnosisand treatment.

DESCRIPTION OF THE RELATED ART

The field of orthodontics is concerned with repositioning a patient'steeth for improved function and aesthetic appearance. For example,orthodontic treatment often involves the use of tiny slotted appliances,known as brackets, which are generally fixed to the patient's anterior,cuspid, and bicuspid teeth. An archwire is received in the slot of eachbracket and serves as a track to guide movement of the teeth to desiredorientations. The ends of the archwire are usually received inappliances known as buccal tubes that are secured to the patient's molarteeth. The archwire and appliances are commonly referred to as “braces.”Orthodontic treatment may also be implemented through the use of clearplastic tooth positioning trays or other functional appliances.

The practice of orthodontics has traditionally relied on manual steps,such as the selection of proper appliances for the particular patient,placement of appliances in the mouth, and adjustment of appliancesthroughout treatment. More recently, advancement in technology hasallowed some of these steps to be assisted through the use of computers.For example, computers can be used to guide the acquisition of datarepresenting the teeth arrangement of an individual patient. Such datacan then be used to visualize the patient's dentition to diagnose andassist in orthodontic treatment planning at any stage of treatment.Furthermore, these data can be used in manufacturing appliances, such asbrackets, that are customized to the patient.

There are numerous advantages to using customized appliances. First, theprescription of the appliances can account for the variability in thestarting positions of the maloccluded teeth and provide more efficientdelivery of forces to teeth. Second, the customization of an orthodonticarchwire or bracket bases can allow for significantly lower profilebrackets to be used, since the archwire can contour more closely withthe surfaces of the teeth. This in turn can lead to enhanced patientcomfort, especially with respect to lingual appliances. Third, the shapeof bonding surfaces can be manufactured to precisely complement theteeth surfaces to assist in bonding the appliances and maximize the bondreliability.

When raw data representing the shapes of teeth are received by acomputer, the data is often little more than a point cloud in threedimensional (3D) space. Typically, this point cloud is surfaced tocreate 3D object models of the patient's dentition, including one ormore teeth, gingival tissue, and other surrounding oral structure. Inorder for this data to be useful in orthodontic diagnosis and treatment,the dentition surface is generally “segmented” to produce one or morediscrete, movable 3D tooth object models representing individual teeth.It is also preferred that these tooth models are separated from thegingiva into separate objects.

Segmentation allows a user to characterize and manipulate the teetharrangement as a set of individual objects. Advantageously, diagnosticinformation such as arch length, bite setting, and even ABO gradingcould be derived from these models. As a further benefit, digitalorthodontic setups can provide flexibility in the manufacturing process.By replacing physical processes with digital processes, the dataacquisition step and data manipulation steps can be executed at separatelocations without the need to transport stone models or impressions fromone location to another. Reducing or eliminating the need for shippingphysical objects back and forth can result in significant cost savingsto both customers and manufacturers of customized appliances.

SUMMARY OF THE INVENTION

Some of the technically challenging aspects of digitally enabledorthodontics relate to the proper recognition of tooth objects in thesegmentation process. Teeth tend to display significant variability insize and shape, making it difficult for computers to recognizeboundaries that separate a given tooth from adjacent teeth and othersurrounding structure, such as gingival tissue. Especially problematicare the chewing surfaces of teeth, which can be jagged, worn andunpredictable. These can frustrate efforts by a computer toautomatically separate tooth surfaces from surrounding structure. Whilea human can easily isolate surfaces belonging to a single tooth, it canbe time-consuming for a human to manually perform the segmentationprocess on an entire arch.

This problem can be alleviated by using a two-step method in which avirtual surface is used to identify at least a portion of a singulartooth surface on a mouth surface. With the virtual surface defined,remaining portions of the mouth surface are then automatically analyzedto identify the boundaries that separate the tooth surface fromsurrounding mouth surfaces, thus defining segmented tooth objects. Byexcluding portions of the mouth surface already known to be part of asingle tooth, this method leverages the knowledge of the user whileretaining the advantages of a semi-automatic process. The success rateof computerized segmentation substantially increases by excluding crownsurfaces that tend to induce error. Additionally, the computation issignificantly accelerated by reducing the area of mouth surface analyzedafter each successive tooth has been identified.

In one aspect, a computer-implemented method for recognizing thegingival margin of a tooth is provided. The method comprises: receivinginto the computer surface model data that digitally defines athree-dimensional surface of at least a portion of a mouth, the portioncontaining at least one tooth; presenting a rendering of the surfacemodel data in a user interface; receiving input data specifying a pointon the rendered surface model associated with a tooth; using thecomputer's processor, deriving a perimeter on the surface model of thetooth based on the input data; and using the computer's processor,analyzing the surface model along a plurality of paths outwardlyextending from points on the perimeter along the three-dimensionalsurface to produce gingival margin data, which is data that defines aboundary in the surface model separating the tooth surface andsurrounding surfaces of the mouth.

In another aspect, a computer-implemented method of defining a toothcoordinate system for a virtual tooth is provided, comprising:presenting the virtual tooth in a user interface of a digital display;receiving point input data that defines a point on the virtual tooth;receiving axis input data that defines first and second axes associatedwith the virtual tooth; using the computer's processor, computing asubstantially normal vector for a portion of the tooth surfacesurrounding the point; and computing the tooth coordinate system basedon the axis input and the computed vector.

In still another aspect, a computer-implemented method of simulating acollision between a first virtual tooth and a second virtual tooth isprovided, comprising: receiving into the computer digital data defining,in three-dimensional space, the first virtual tooth and the secondvirtual tooth; receiving permissible movement input data directed topermissible movement of the first virtual tooth along or about a firstaxis; using the computer's processor, simulating, in three dimensionalspace, bringing the first virtual tooth into contact with the secondvirtual tooth while constraining movement of the first virtual toothbased on the permissible movement input data; and displaying, in a userinterface of a display, data resulting from the simulation.

In yet another aspect, a computer-implemented method of simulating acollision between a first virtual arch and a second virtual arch isprovided, comprising: receiving into the computer digital data defining,in three-dimensional space, the first virtual arch and the secondvirtual arch; receiving permissible movement input data directed topermissible movement of the first virtual arch along or about a firstaxis; using the computer's processor, simulating, in three dimensionalspace, bringing the first virtual arch into contact with the secondvirtual arch while constraining movement of the first virtual arch basedon the permissible movement input data; and displaying, in a userinterface of a display, data resulting from the simulation.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1A is a block diagram of an exemplary computer environment in whicha client computer communicates with a manufacturing facility.

FIG. 1B is a high-level flowchart directed to an exemplary orthodonticdigital setup;

FIG. 2A shows a dentition surface of the upper and lower arches of apatient according to one embodiment;

FIG. 2B is a fragmentary view showing the classification of teeth in thedentition surface of FIG. 2A by a user;

FIG. 3 shows the arrangement of markers on individual teeth in thedentition surface of FIGS. 2A and 2B;

FIG. 4 shows the dentition surface of FIGS. 2A-3 with all markersplaced;

FIGS. 5A and 5B show the re-sizing of a marker on an individual tooth inthe dentition surface of FIGS. 2A-4;

FIG. 6 shows the translation of a marker from its original position inthe dentition surface of FIGS. 2A-5B;

FIG. 7 shows partially completed output from the automated process ofseparating the individual teeth from surrounding structure in thedentition surface of FIGS. 2A-6;

FIG. 8 shows the inspection of the separated tooth surfaces and gingivalmargins in the dentition surface of FIGS. 2A-7;

FIGS. 9A and 9B show the process of repairing a defect in the gingivalmargins in the dentition surface of FIGS. 2A-8;

FIG. 10 shows one view of the finished result of the tooth separation,inspection and repair processes in the dentition surface of FIGS. 2A-9B;

FIGS. 11A and 11B are occlusal and buccolabial views of the final toothsurfaces in the dentition surface of FIGS. 2A-10 with the gingivadistinguished;

FIGS. 12 and 13 are occlusal and perspective views showingidentification of landmarks by a user on a tooth surface in thedentition surface of FIGS. 2A-11;

FIG. 14A is an occlusal view of the dentition surface of FIGS. 2A-13with positioning of landmarks finalized;

FIG. 14B is a buccolabial view showing horizontal and verticalcrosshairs on a tooth surface of the dentition surface of FIGS. 2A-14A;

FIG. 15 is a buccolabial view showing a coordinate system on a toothsurface of the dentition surface of FIGS. 2A-14B;

FIG. 16 is an occlusal view showing a coordinate system on a toothsurface of the dentition surface of FIGS. 2A-15;

FIG. 17 is a distal view showing a coordinate system on a tooth surfaceof the dentition surface of FIGS. 2A-16;

FIG. 18 is a perspective view of tooth surfaces in the dentition surfaceof FIGS. 2A-17 showing coordinate systems for the tooth surfaces;

FIG. 19 is a perspective view showing coordinate axes for tooth surfaceswith root stubs in the dentition surface of FIGS. 2A-18;

FIG. 20 is a lingual view showing coordinate axes for tooth surfaceswith root stubs in the dentition surface of FIGS. 2A-19;

FIG. 21 illustrates the definition of a first reference plane in thedentition surface of FIGS. 2A-20.

FIG. 22 illustrates the definition of a second reference plane in thedentition surface of FIGS. 2A-21.

FIG. 23 is an occlusal view showing a superposition between the uppermaloccluded reference arch and the same arch undergoing adjustment ofthe dentition surface of FIGS. 2A-22.

FIG. 24 is a buccolabial view showing collisions being detected betweenthe upper left cuspid and lower left bicuspid and between the upper leftcuspid and its mesial and distal neighbors of the dentition surface ofFIGS. 2A-23;

FIG. 25 is a high-level flowchart showing a method of collisionprevention between teeth.

FIGS. 26-28 are a flowchart showing a method of applying a force to atooth along or about a selected axis.

FIG. 29 is a flowchart showing a method of determining mesial-distaltranslation for a tooth as required in FIG. 26.

FIG. 30 is a flowchart showing a method of determiningbuccolabial-lingual translation for a tooth as required in FIG. 26.

FIG. 31 is a flowchart showing a method of determining occlusal-gingivaltranslation for a tooth as required in FIG. 26.

FIG. 32 is a flowchart showing a method of determining first orderrotation for a tooth as required in FIG. 27.

FIG. 33 is a flowchart showing a method of determining tip rotation fora tooth as required in FIG. 27.

FIG. 34 is a flowchart showing a method of determining torque rotationfor a tooth as required in FIG. 27.

FIGS. 35-36 are a flowchart showing a method of determining if a toothis in collision with a neighboring tooth.

FIG. 37 is a flowchart showing a method of determining which antagonistteeth may be in collision with a tooth.

FIGS. 38-40 are a flowchart showing a method of moving a tooth out ofcollision with its neighboring teeth.

FIG. 41 is a flowchart showing a method of computing a movementincrement for a tooth.

FIG. 42 is a high level flowchart showing a method of collisionprevention between dental arches.

FIGS. 43-44 are a flowchart showing a method of applying force to adental arch along or about a selected axis.

FIG. 45 is a flowchart showing a method of determining if a dental archis in collision with an opposing dental arch.

FIGS. 46-48 are a flowchart showing a method of moving a dental arch outof collision with an opposing dental arch.

FIG. 49 is a flowchart showing a method of determining a movementincrement for an articulated dental arch movement.

FIG. 50 is a perspective view of a virtual articulator showing thedentition surface of FIGS. 2A-24 in an open gape configuration.

FIG. 51 is a perspective view of a virtual articulator showing thedentition surface of FIGS. 2A-24 in a closed gape configuration.

DEFINITIONS

As used herein:“Mesial” means in a direction toward the middle of the patient's curveddental arch.“Distal” means in a direction away from the middle of the patient'scurved dental arch. “Occlusal” means in a direction toward the outertips of the patient's teeth.“Gingival” means in a direction toward the patient's gums or gingiva.“Buccolabial” means in a direction toward the patient's lips or cheeks.“Lingual” means in a direction toward the patient's tongue.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

FIG. 1A is a block diagram illustrating an exemplary computerenvironment 10 that includes a client computer 12. Preferably, theclient computer 12 has a processor, input device, memory, and displaydevice. The client computer 12 presents an environment for anorthodontic practitioner 14 to interact with a digital representation ofa portion of or an entire dental arch of patient 16 to generate andvisualize an orthodontic digital setup for patient 16. Optionally and asshown, the client computer 12 communicates with a manufacturing facility18 via network 20.

The client computer is operated by a user. The user interacts withmodeling software executing on a computer to visualize, process, andmanipulate the 3D representation of a patient's dental arch, arches, orsubsets thereof The computer may be located in the manufacturingfacility 18, a dental laboratory, or practitioner's office. As anotherpossibility, the computing resources for running the software may bespread over two or more computers in different locations. Optionally,the interaction between the user and the modeling software is conductedin view of creating one or more appliances, such as a customized braceor aligning tray, at the manufacturing facility 18.

FIG. 1B provides an exemplary workflow for a digital orthodontic setup.In this exemplary embodiment, the orthodontic digital setup providesmethods for recognizing tooth surfaces, separating tooth surfaces fromsurrounding dental structure, supplementing the shapes of toothsurfaces, and moving the tooth surfaces toward desired positions(locations and orientations). These methods can be advantageously usedto diagnose a malocclusion for achieving mid-treatment or finaltreatment goals. Digital representations of a patient's dentition canalso provide mid-course treatment corrections or specify one or moreorthodontic appliances, as described in U.S. Publication No.2010/0260405 (Cinader).

As shown in the figure, the workflow can be sub-divided into basicsteps, including Data Acquisition and Processing (Block 52), ToothSegmentation (Block 54), Definition of Coordinate Systems (Block 56),Root Stub Formation (Block 58), Definition of Reference Planes (Block60), Tooth Placement in Archform (Block 61), Occlusion Setting (Block62), and Dental Arch Articulation (Block 64). In the following sections,each of these steps shall be examined in turn, bearing in mind that theinvention may represent fewer than all of these steps, more than all ofthese steps, and/or steps carried out in a different order than theorder shown in FIG. 1B.

Data Acquistion and Processing

Digital orthodontic setups begin with obtaining data representing thepatient's dentition and digitally processing this data, as shown byBlock 52 in FIG. 1B. A digital dentition surface (or surface model), ofa patient's dental arrangement is provided and stored on a local orremote computer. The dentition surface (or mouth surface) represents ashape of at least part of a patient's mouth. The dentition surface mayrepresent both arches of a patient, only the upper or lower arch, oronly a portion of one or both arches. Optionally, a dentition surfacerepresenting only a portion of a patient's dental structure may bedesired, for example, in cases in which treatment is sought for some butnot all of the teeth. As used herein, “dentition surface” and “mouthsurface” are interchangeable.

In some embodiments, the first dentition surface may be provided using ahand-held intra-oral scanner such as the intra-oral scanner using activewavefront sampling described by Brontes Technologies, Inc. (Lexington,Mass.) in PCT Publication No. WO 2007/084727 (Boerjes, et al.).Alternatively, other intra-oral scanners or intra-oral contact probesmay be used.

The dentition surface may be provided by scanning either a positive ornegative impression of the patient's teeth. As another option, thedentition surface may be provided by using a contact probe on a model ofthe patient's teeth. The model used for scanning may be made, forexample, by casting an impression of a patient's dentition from asuitable impression material such as alginate or polyvinylsiloxane, andscanning the impression. If a stone model has been cast from theimpression, the stone model can be scanned instead. Any suitablescanning technique may be used for scanning the impression or model,including X-ray radiography, laser scanning, computed tomography,magnetic resonance imaging, and ultrasound imaging. Other possiblescanning methods are described in U.S. Patent Publication No.2007/0031791 (Cinader et al.).

Additional processing steps can be implemented in creating the 3Ddentition surface. For example, the raw data may be optionally“cleansed” by removing any data points that represent errors or areunnecessary. For example, data files representing a tooth surface thatinclude one or more data points significantly outside the normalexpected geometrical relationship of adjacent data points (i.e.outliers) could be fixed by data handling software or human interventionto remove the erroneous data point(s). In addition, tooth data pointsthat are missing could be added or estimated by data handling softwareto create realistic, smoothly curved shapes of teeth or the jawbone, asdefined by the data points.

In preferred embodiments, the digital data is then “surfaced”, orconverted from digital point clouds to 3D surfaces by modeling softwarefrom a provider such as Geomagic, Inc. (Research Triangle Park, N.C.).

FIG. 2A shows an exemplary 3D model surface of an exemplary patient'smaloccluded dentition, represented here by the numeral 100. Thedentition surface 100 is rendered on a 3D user interface as a 3D mesh ofsurface triangles representing both the upper and lower arches. Notablyhere, the dentition surface 110 includes not only maloccluded teeth 110but also surrounding gingival tissue 112.

Tooth Segmentation

Following the acquisition of data to create the dentition surface, thedentition surface is then virtually separated into discrete elements sothat, for example, each tooth may be independently moved as a separateobject. This is represented by Block 54 in FIG. 1B. Referring to FIG.2A, an exemplary toolbar 102 is provided to provide additionalinformation about the teeth types represented by the dentition surface100. The toolbar 102 includes a set of elements 104 labeled in Palmernotation denoting the complete set of 32 teeth in an adult dental arch.Different types of notation may be used such as universal or FederationDentaire Internationale (FDI) World Dental Federation notation.

FIG. 2B shows a simplified method of entering user input directed to oneor more tooth types with respect to the dentition surface 100. Byclicking on each element 104 on the toolbar 102, a dialog box 106appears. The dialog box 106 allows the user to enter informationspecific to that tooth. For example, in FIG. 2B, the dialog box 106 isbeing used to indicate that the upper left third molar tooth is missingin the dentition surface 100. Further information, for example,concerning missing teeth, implants, teeth for extraction, fixed teeth,and primary teeth can be conveniently entered using the toolbar 102.Further aspects of this user interface can be found in issued U.S. Pat.No. 7,613,527 (Raby, et al.).

FIG. 3 shows a process by which a user assists the computer inrecognizing individual teeth by providing input data specifying one ormore points on the dentition surface 100. In this example, the pointsare specified on each tooth 110 of the dentition surface 100 using acursor control device. A suitable cursor control device can be a mouse,trackball, pen, or touch screen. Upon selection of each point location,the corresponding tooth is marked with a virtual auxiliary surface—herea sphere 108—that is placed on the tooth 110 around the point location.Each sphere 108 encloses, and is concentric about, the user-selectedlocation and is shown concurrently with the dentition surface 100—here,intersecting with each tooth 110 in 3D space. Moreover, each sphere 108is indexed to an element 104 on the toolbar 102, such that each sphereis registered to exactly one particular tooth in the dental arch.

As shown in the example of FIG. 3, the sphere 108 and the dentitionsurface 100 intersect with each other to form a virtual intersectionline on the sphere 108 and the dentition surface 100. Each pointlocation is specified such that all portions of the dentition surface100 that intersect with the corresponding sphere 108 are part of asingle tooth 110. In other words, the sphere 108 does not intersect withany of the surrounding gingival tissue 112 or other neighboring teeth110 (note that this does not preclude the sphere 108 from extendingabove the occlusal surfaces of the tooth 110 as shown in FIG. 3).

As a result of this constraint, portions of the dentition surface 100enclosed by the virtual intersection line are designated as a partialtooth surface of the individual tooth 110. Defining each tooth 110 inthis manner is highly beneficial in avoiding errors in teethsegmentation because furrowed and ridged portions of the molar teeth 110can be partially or fully contained within the sphere 110. As a result,these areas of the teeth 110 can be removed from consideration insubsequent computational analyses, thus reducing the risk of identifyingerroneous tooth boundaries.

Optionally, the spheres 108 are shaded (as shown) or color-coded toallow a user to easily identify specific teeth that have been marked. Asan example, green spheres 108 may be used to represent first biscuspidteeth, and orange spheres may be used to represent cuspid teeth.Advantageously, such a coding scheme helps eliminate user error inplacing spheres 108 on the teeth 110, particularly when one or moreteeth are missing.

In some embodiments, the size of the sphere is pre-determined accordingto the tooth associated with the selected location. Preferably, thesizes of the spheres 108 generally scale with the sizes of theassociated teeth according to statistical norms in the patientpopulation. In FIG. 3, for example, the first and second molar teeth areassociated with relatively large spheres 108′, and anterior teeth areassociated with relatively small spheres 108″.

While each tooth 110 is being marked with a sphere 108 in thisembodiment, other auxiliary surfaces are also contemplated for thispurpose. For example, the auxiliary surface could be an alternativegeometric form such as an ellipsoid, torus, or cube. The auxiliarysurface could be either an open-manifold or closed-manifold surface. Ifdesired, an open surface (having one or more boundaries) such as anopen-ended cylinder, disk, or rectangular surface may be used. However,the use of spheres 108 is particularly preferred because spheres are notorientation-dependent and can be faster to analyze computationally.

Although use of an auxiliary surface to define the perimeter is helpful,it is not required. For example, a perimeter can be defined directly onthe virtual tooth surface by free-hand user input.

FIG. 4 shows teeth 110 of the upper dental arch of the dentition surface100 that has been completely marked by the placement of spheres 108 asdescribed above. Optionally and as shown, the spheres 108 placed on themolar teeth 114 intersect with the occlusal surfaces of the molar teeth114, while the spheres 108 placed on the anterior teeth 116 intersectwith the lingual surfaces of the anterior teeth 116. The intersection ofeach sphere 108 and respective tooth 114, 116 with each other defines aclosed perimeter on the surface of the respective tooth 114, 116. Theperimeter, defined in 3D space, can be generally circular in shape, butthis need not be the case where tooth surfaces are highly irregular.

After all of the spheres 108 have been placed on both the upper andlower arches, further adjustments can be made to one or more of thespheres 108. For example, as shown in FIGS. 5A and 5B, the size of asphere 118 on a lower molar tooth 114 is manually adjusted from a largerto a smaller size by a user. In an exemplary two-step process, a cursorcontrol device is used to select the sphere 118 in FIG. 5A, and asubsequent keyboard or cursor control device action (such as rolling thescroll-wheel of a mouse) is used to shrink the sphere 118 in FIG. 5B.FIG. 6 shows an adjustment to the position of the sphere 118 relative tothe tooth 114. As shown, the sphere 118 is translated as desired byclicking and dragging the sphere 118 to a new location. Adjustments tothe size and location of one or more spheres 108 can help keep thespheres 108 separated from known defects in the dentition surface 110,and provide for a more robust tooth segmentation process.

FIG. 7 shows an automated aspect of the segmentation process. Once allof the spheres 108 have been placed and adjusted, the user instructs thecomputer to execute a tooth segmentation procedure. In the embodimentdepicted, a computer algorithm is executed for each tooth 110 of thelower arch of the dentition surface 100, beginning with the lower leftsecond molar and ending with the lower right second molar. Other toothorderings are possible and may be appropriate, depending on the toothnumbering notation used in the toolbar or depending on regionalpractices or individual user preferences.

In a preferred embodiment, any surface triangle of the dentition surface100 located within the corresponding sphere 108 is designated as apartial tooth surface, or part of an individual tooth surface 120. Oncethe tooth surface 120 has been initially defined, the dentition surface100 is then analyzed along a plurality of paths outwardly extending fromthe sphere 108 along the dentition surface 110 to automaticallyrecognize a boundary separating the tooth surface 120 and thesurrounding structure. Once each tooth surface 120 is fully defined, thecorresponding sphere 108 is removed and the tooth surfaces 120 aresuffused with color or shaded as shown in FIG. 7.

FIG. 8 shows in more detail an exemplary gingival boundary 124partitioning the tooth surface 120 and the surrounding structure 122. Ina particular embodiment, the boundary 124 is determined by probing thedegree of concavity along the surface of the dentition surface 110. Withthe surface triangles already identified as part of the tooth surface120 as a starting point, the computer algorithm proceeds by outwardlysearching for surface triangles of the dentition surface 110 having acertain numeric characteristic. This numeric characteristic candetermine, or assist in determining, the local concavity of thedentition surface 100.

The algorithm proceeds to search for surface triangles that arepotential boundary triangles. Potential boundary triangles satisfy athreshold local concavity, a condition that suggests that a boundarybetween the tooth and a surrounding structure may have been found. Thisthreshold can be met, for example, when the numeric characteristic fallsabove a threshold value, below a threshold value, or within apre-determined range of values. In a preferred embodiment, the numericcharacteristic is an angle formed between the plane of the given surfacetriangle and the plane of one of three possible neighboring surfacetriangles. Alternatively, the numeric characteristic could be theinternal angle, aspect ratio or overall area of the surface triangle.

The above searching process is applied iteratively to identify anend-to-end chain of contiguous boundary triangles in which each boundarytriangle satisfies the threshold concavity requirement. The identifiedseries of triangles can thus define a proposed gingival boundary. Theproposed gingival boundary is deemed acceptable, for example, if eachboundary triangle has a numeric characteristic that satisfies athreshold value and also has a maximum of two neighbors that likewisesatisfy this condition. In a preferred embodiment, the numericcharacteristic is an angle of a surface triangle whose threshold valuestarts at 5 degrees. This condition may be used to propose a set ofsurface triangles for providing an acceptable gingival boundary (i.e.gingival margin). If this condition is found unacceptable, the thresholdvalue can be iteratively changed by 0.5 degree decrements and thisprocess repeated until an acceptable gingival boundary is provided.

Additional constraints may be hard-coded into the software to improvethe performance or robustness of the algorithm. For example, a maximumdimension of the tooth surface 120 may be specified. In someembodiments, the size of the tooth surface 120 is specified as being nogreater than 12 millimeters, no greater than 14 millimeters, no greaterthan 15 millimeters, no greater than 16 millimeters, or no greater than18 millimeters. Optionally, limitations may be placed based on a minimumdimension for the tooth surface 120.

In FIG. 8, the boundary 124 is rendered smooth by using a splinefunction (such as a cubic spline function) that connects the identifiedset of surface triangles. Having thus defined the boundary 124, theportion of the dentition surface between the tooth boundary and theintersection line is designated as a second partial tooth surface.Finally, the completed tooth surface 120 is formed by combining thefirst and second partial tooth surfaces.

Optionally and as shown, the boundary 124 is outfitted with a pluralityof adjustable nodes 126 that are located along the boundary 124. Thenodes 126 act as control points, allowing a user to correct errors inthe boundary 124 as described below.

FIGS. 9 and 10 show a convenient process for correcting, or “healing”, auser-identified defect in the boundary 124. As shown, a user uses thepointer to click and drag a first node 130 toward a second node 132 toindicate a gap that should be closed along the boundary 124. When thefirst node 130 is positioned over the second node 132 and released, thesoftware automatically eliminates erroneously defined sections of theboundary 124 between the nodes 130,132, resulting in a properlycorrected gingival boundary 134.

FIG. 10 presents, in the user interface, visual indicia on the renderingof the surface model showing the gingival boundaries 136 separating thetooth surfaces 120 from the surrounding surfaces of the mouth. As shownhere, the boundaries 136 separate the tooth surfaces 120 both from thegingiva and from each other. After the gingival boundaries 136 have beendeemed satisfactory, the user accepts the tooth surfaces 120 as is.FIGS. 11 and 12 show the segmented dentition surface 138. Optionally andas shown, the boundaries 136, nodes 126, and shading of the teeth areremoved for clarity in the completed model 138.

Definition of Coordinate Systems

After the dentition surface 138 has been provided, a coordinate system,defined by coordinate axes, is determined for each of the discrete toothsurfaces. This step is represented by Block 56 in FIG. 1B.

One way of determining these coordinate axes involves the placement ofone or more landmarks on the tooth surfaces. For example, FIGS. 12 and13 show the placement of four landmarks 140 on a molar tooth surface142, each landmark corresponding to the tip of a respective cusp on themolar tooth. In this example, the location of the landmarks 140 isselected manually by a user. The user may pan, rotate, or zoom thevirtual camera relative to the tooth surface 142 in order to bettervisualize the cusps of the respective tooth. More or fewer than fourlandmarks may be defined for a given tooth surface. In some embodiments,the software prompts the user to specify the location of each cusp byprogressively placing the landmarks 140 along the dentition surface 100.

Initial landmark locations can also be determined automatically orsemi-automatically. For example, the computer could propose the locationof landmarks 140 based on the overall shape of the tooth surface 142, along axis of the tooth surface 142, or other feature of the toothsurface 142 as specified by the user. Optionally, a user verifies theplacement of landmarks 140 and makes manual adjustments as needed. Thisprocess can be repeated for all of the tooth surfaces 142 in thedentition surface 100 that have cusps. These generally include the molarand premolar teeth.

When all of the landmarks 140 have been placed on the tooth surface 142,they are collectively used to define the respective coordinate systemfor the tooth surface 142. For example, in one embodiment, a molar table(reference plane parallel to the occlusal surface of a molar tooth) isinitially computed as a “best fit” to the four landmarks 140. The twobuccolabial landmarks 140 are then projected onto the occlusal plane tocompute the location and orientation of the mesial-distal axis. Thebuccolabial-lingual axis lies within the molar table as well and iscomputed as perpendicular to the x-axis. Finally, the occlusal-gingivalaxis can be derived from the cross-product of the other two axes.

Optionally, landmarks may also be defined based on other features of thetooth surface 142. For example, the marginal ridge valley of the toothsurface 142 may also be specified by the user and assist in determininga coordinate system for the respective tooth surface 142. FIG. 14A showsthe dentition surface 100 displaying finalized landmarks directed toboth the cusps and the marginal ridges of the teeth.

FIGS. 15-17 show three different views of a computed coordinate systemand adjustment control for a tooth of the dentition surface 100. Asillustrated, a first axis 150 (z-axis) is parallel with the perceivedlong axis of the tooth surface 152, a second axis 154 is aligned withthe incisal edge of the tooth, and a third axis 156 intersects axes150,154 and is substantially normal to the buccolabial tooth surface.

The coordinate axes may be conveniently adjusted relative to the toothin six degrees of freedom. For example, each axis may be translatedusing a simple click and drag gesture applied to a highlighted section,or “tube”, along a given axis. Moreover, each axis may be easily rotatedusing a “wheel” 158, found at either end of the axis as displayed.Wheels 158 may be activated, for example, using the scroll wheel of amouse. Advantageously, this allows for easier and faster alignment whilereducing the need to orient the dentition surface 100.

As an alternative to using landmarks 140, a “single-click” method may beused to define the coordinate system. This method uses point input datathat defines a point on the virtual tooth, receiving axis input datathat defines first and second axes associated with the virtual tooth,computing a substantially normal vector for a portion of the toothsurface surrounding the point, and computing the tooth coordinate systembased on the axis input and the computed vector. This is particularlyuseful for determining coordinate axes for incisor, cuspid, and bicuspidteeth, for which the buccolabial surfaces display a relatively smalldegree of variability. In FIGS. 15-17, this implementation is used forthe upper right central tooth surface 152. The creation of thecoordinate system can be performed semi-automatically, as will bedescribed below.

FIG. 14B shows the use of an oriented crosshairs tool for defining thecoordinate system of a tooth surface in a three-dimensional viewingenvironment. Here, the location of vertical and horizontal crosshairs151,153 is initially provided by a user, with the vertical crosshair 151reflecting the perceived z-axis of the tooth surface 152. The point ofintersection of the horizontal crosshair 153 and the vertical crosshair151 defines a perceived reference point, such as the perceived facialaxis (FA) point 160 of the tooth surface 152. Advantageously, this userinput can be provided using a single click using a cursor control deviceon the tooth surface 152.

If desired, the horizontal crosshair 154 can be rotated relative to thevertical crosshair 150 such that the crosshairs 150,154 are no longerorthogonal. This rotation can be carried out, for example, by holdingdown a control key on the keyboard, or entering some other temporaryuser input mode, while moving the scroll wheel on the mouse (or otherpointing device). In the context of an orthodontic prescription, such anadjustment can be useful in representing an adjustment in the angulation(or “tip”) of the respective tooth. Advantageously, such an adjustmentcan express the tip that is built into the anatomy of the patient'sdentition such that the correct tip may be applied later when moving thevirtual teeth objects toward desired positions.

With the crosshairs 150,154 and the FA point thus defined, thecoordinate system can be computed using the FA point as a positionreference and using at least one of the crosshairs and a normal vector(or “normal”) for a portion of the tooth surface as an orientationreference. The computer can then provide on the user interface visualindicia to represent x, y, and z axes of the tooth coordinate system.

In one embodiment, this can be achieved using the following technique:a) A sagittal reference plane P is defined as the intersection of thevertical crosshair 150 with the viewing plane (equivalent to the planeof the page in FIG. 14B). Plane P represents the intersection of thevertical crosshair 150 with an eye point of a virtual camera in the 3Dviewing environment shown in FIG. 14B. An intersection is thenidentified between this plane P and the tooth (the result of thisintersection is a polyline). The occlusal-most point of this polyline isused to define the position of the origin of the tooth coordinatesystem. For bicuspids, a slight variation to this step is used—thelingual portion of the tooth is excluded so that the coordinate systemorigin is defined using buccolabial cusps only).b) A cylinder is created, centered about the center of the crosshairobject and normal to the viewplane, with a radius R. In an exemplaryembodiment, the radius used is 1 millimeter.c) A uniform point sampling within that cylinder is used (in anexemplary embodiment, approximately 25 points are used within thiscylindrical region). A ray is extended from each of these points towardsthe facial surface of the tooth. The intersection with the tooth surfaceis computed, and the normal at the surface is found. All normals fromthe point sampling are averaged to find the average normal at the facialsurface of the tooth near the FA point. Advantageously, this stepremoves any spikes that may occur due to local rough surface data.d) The average normal, as computed in step c) above, is used to definethe y orientation of the coordinate system.e) Next, the vertical crosshair is projected onto the plane defined bythe coordinate system origin and the y axis orientation as the normal.The result of this projection is the z orientation vector of thecoordinate system.f) Finally, the x orientation vector is simply the remaining vector (zcross y or y cross z).

Other variants are also possible. For example, the FA point itself coulddefine the origin of the coordinate system. In some embodiments, thearray of points in step (c) above lie in a reference plane parallel tothe view plane, and are projected onto the tooth along a line passingthrough an eye point of the virtual camera and the FA point of thetooth. In some embodiments, the array of points are projected onto thetooth along the normal vector determined at the FA point. The array ofpoints need not be derived from a cylindrical region. For example, thearray of points may be derived from any geometric shape enclosing aportion of the tooth around the reference point. In any of the abovecases, the array of points could be projected onto the tooth along anaverage normal vector, which is in turn an average of individual normalvectors for respective polygons or vertices used to represent the toothsurface.

FIG. 18 shows an upper dental arch of the dentition surface 100 with thecoordinate system defined for all teeth. Also shown, as an additionalreference datum, is the normal vector for each tooth as determined insteps a-c above. Advantageously, this method allows a user to compensatefor known defects in the tooth structure. As an option, if a user isaware that a cusp has been worn down, the user can intentionally avoidlandmarking that cusp, thereby avoiding the effects of this defect whensetting the coordinate axes for the respective tooth. Alternatively,such a defect may be remedied by manually adjusting the coordinate axesas described above. If desired, a landmark of the worn cusp can beidentified as “suspect” and removed from further calculations whilestill being noted.

The coordinate system thus defined, the user can then perform variousmodifications to one or more virtual teeth associated with thecoordinate system. This could include, for example, rotation ortranslation of the tooth along or about a given tooth axis. Suchmodification could also include the attachment of an orthodonticappliance to a tooth. In a preferred embodiment, the computer updatesthe user interface to be consistent with the modifications.

Root Stub Formation

Once all of the coordinate systems have been defined, artificial rootstubs can be virtually added to each tooth surface such that each toothsurface presents a closed-manifold surface. Referring back to FIG. 1B,this step is represented by Block 58. Root stubs are beneficial inorthodontic digital setups because they reflect the defined coordinatesystem of each tooth and help a user visualize the orientation of eachtooth with respect to its neighbors. Root stubs can also assist intreatment planning. For example, root stubs provide a visualization thatcan be used by a practitioner to predict possible interferences betweenroots during treatment.

FIG. 19 shows the automated formation of root stubs 168. In a preferredimplementation, the root stubs 168 are computed from the finalizedcoordinate systems of the tooth surfaces and pre-defined characteristiccross-sections of artificial roots. The pre-defined characteristiccross-sections originate from a model (or idealized) tooth, andrepresent virtual “slices” of the tooth root along planes normal to thez-axis of the model tooth.

The following implementation can be used to integrate the artificialroots with scanned tooth surfaces:

1) An object oriented bounding box is defined for each tooth surface.2) A second, larger object oriented bounding box is defined for both thetooth surface and root stub based on a predetermined root stub length.Preferably, the predetermined length is hard-coded. Optionally, thepredetermined length is uniform for all root stubs.3) The artificial cross section of the artificial root for eachrespective tooth is then scaled to the size of the oriented boundingbox.4) Polygons of real scanned points are created in the plane of eachartificial cross section.5) Areas of missing scan data are provided by morphing the cross sectionpoints with the tooth surface.6) Horizontal splines on areas of real scan data are built based on realscan polygons and morphed artificial data.7) Vertical splines are defined considering the real scan data and thehorizontal splines.8) Splines located in areas without scan data are then smoothed toreduce areas of strong convexity and concavity. The result is a threedimensional grid of spline points defining the surface of the artificialroot stub and the interproximal areas of the tooth.9) The spline data for all artificial parts are then triangulated, orconverted to a 3D triangular mesh.10) Finally, the artificial edges are connected with the real scan dataedges to produce tooth surfaces with fully integrated root stubs.

FIG. 20 shows the use of “tube” and “wheel” elements as parts of anadjustment control to manipulate the location and orientation of theintegrated tooth elements. This adjustment control differs from the oneearlier described as being associated with the tooth coordinate system,because it is associated with the entire tooth. As such, adjustments tothis control cause the tooth, along with its coordinate axes, to moverelative to the arch, while its coordinate axes maintain their positionrelative to the tooth geometry. Advantageously, a user can visualize themovement of teeth in response to very small changes in an orthodonticprescription. In the figure, the effect of minor changes in torque andangulation for individual tooth surface 170 is depicted with respect tothe surrounding teeth in the dentition surface 100.

Definition of Reference Planes

With the root stubs in place, the user may specify one or both of theocclusal and midsagittal planes of the dentition surface 100 at thistime (Block 60 in FIG. 1B). The occlusal plane is an imaginary surfacethat passes through the occlusion of the teeth, and is generallyapproximated by a plane. The midsagittal plane is an imaginary planepassing longitudinally through the middle of the dental arch, dividingit into left and right halves.

FIG. 21 shows the process of deriving an occlusal plane 172 on thedentition surface 100. In one embodiment, the computer provides aninitial approximation of the occlusal plane 172 based on the shapes orcoordinate systems of some or all of the tooth surfaces belonging to anindividual arch of the dentition surface 100. For example, the occlusalplane 172 may be defined by identifying three points that tangentiallycontact a plane superimposed on the dentition surface 100. For a givendental arch, the three points generally include at least one contactpoint from a left molar, one contact point from a right molar, and onecontact point from a central or lateral tooth. In another embodiment,the occlusal plane is defined as a best-fit plane to the pointsrepresenting the origins of the tooth coordinate systems, as previouslydefined. In effect, this plane represents the average of these origins,which are generally positioned at the incisal edges, single cusp tips,or buccal cusp tips of the teeth.

FIG. 22 shows the result of deriving the midsagittal plane 174 of thedentition surface 100. The computer derives this plane 174 based on theshape of the archform according to the coordinate systems of the toothsurfaces of the dentition surface 100. With respect to both the occlusaland midsagittal planes 172,174, the computer provides an option to makemanual adjustments to their locations and/or orientations relative tothe dentition surface 100 as seen fit by the user.

Tooth Placement in Archform

At this point, the dentition surface 100 includes a set of discretemovable tooth surfaces with integrated root stubs. Further, bothocclusal and midsagittal reference planes have been defined. At thistime, basic diagnostic features are available. For example, the user cansuperimpose the occlusal plane to examine the patient's dentition forsymmetry. The location and orientation of the tooth surfaces are thenadjusted to precisely place tooth surfaces in each of the upper andlower archforms, as represented by Block 61 in FIG. 1B.

The tooth surfaces in each archform can be placed according to knownguiding principles in orthodontic practice. For example, some of theseguiding principles can be found in Dr. Lawrence F. Andrew's “Six Keys toOptimal Occlusion”, describing the tooth positions of naturally optimaldentitions. This information is documented in Dr. Andrew's textentitled, Straight Wire, The Concept and Appliance (L. A. Wells, 1989).

Preferably, the placement of tooth surfaces in the dentition surface 100occurs according to one or more quantitative rules. As one example, arule could require the closure all spaces within a dental arch. In apreferred embodiment, a computer algorithm automatically closes allspaces between tooth surfaces by packing the teeth toward the midline inthe dentition surface 100, while constraining all tooth surfaces to thedefined archform. A user can also specify that this condition ismaintained such that this tooth packing procedure takes placeautomatically every time a tooth surface is subsequently moved.

The user may specify one or more constraints to the tooth packingprocess. For example, the user may choose to “pin” one or more toothsurfaces such that these tooth surfaces do not move relative to thedentition surface 100 while the remaining teeth are packed toward themidline. This constraint can be advantageously applied when the userdoes not wish to disturb the position of one or more of the teeth.

If desired, a virtual archwire may be defined and one or more toothsurfaces can be moved to a specified position along the virtualarchwire, as described in issued U.S. Pat. No. 7,354,268 (Raby, et al.).As another option, the positions of the tooth surfaces in the dentitionsurface 100 can be determined based on a predetermined orthodonticprescription, as described in issued U.S. Pat. No. 7,291,011 (Stark, etal.). The definition of the arch form need not be a spline consisting ofa continuous series of circular arc segments, as described in theaforementioned patents. Instead, the arch form may be defined as aspline consisting of a continuous series of parametric cubic curvesegments, or according to some other mathematical definition of acontinuous curve.

One or more teeth can also be individually adjusted. Aspects that can beadjusted for each tooth surface include: torque, tip, 1^(st) orderrotation, mesial-distal movement (with or without interproximalreduction (IPR)), occlusal-gingival translation, and buccolabial-lingualtranslation.

Each of these aspects relate to movement in one of the six degrees offreedom defined by the coordinate axes of the respective tooth surface.Corresponding adjustments can be made as previously described for thetooth surface 152 in FIGS. 15-17. Adjustments to one or more individualteeth may be used to implement, for example, a desired Curve of Spee orCurve of Wilson. If buccolabial or lingual braces are intended for usein treatment, adjustments can be made to conform one or more toothsurfaces to a particular archwire plane. Optionally, one or more ofthese requirements are provided by a orthodontic practitioner.

FIG. 23 shows a plurality of teeth objects on upper reference and uppersetup arches 180,182 being adjusted in coordinated fashion. As shown inthe figure, the user can make an archform adjustment in response toviewing superimposed images of the upper reference arch 180,representing the original malocclusion, and the upper setup dental arch182 being adjusted to preserve as much as possible the basic shape ofthe original archform. The shape of the archform is adjusted by clickingand dragging a node 184 on a spline 186 defining the shape of therespective arch. The user may also create additional nodes or controlpoints on the spline 186 to tailor the shape of the archform moreprecisely.

The manipulation of the tooth surfaces in the dentition surface 100 asdescribed above can be made to satisfy any number of quantitativerequirements specified by the orthodontic practitioner, including archlength, intercanine width, intermolar width, and anterior proclination.At the same time, however, there are constraints on the types of toothmovement that are possible, given the physiology of the patient. In theevent that it is impossible to satisfy all of the requirements, the usermay communicate with the orthodontic practitioner to relax one or moreof the requirements and determine an acceptable compromise.

When two teeth collide, there are different ways in which the computercan respond to such a collision. In one type of response, the collidingtooth surfaces are allowed to intersect with each other. Optionally andas shown in FIG. 24, the tooth surfaces in collision can be “flagged”(for example, by coloring the tooth surfaces 183 as displayed) toindicate that an intersection between two tooth surfaces has occurred.In a second type of response, the colliding tooth surface simply stops,thereby preventing intersection from occurring. In a third type ofresponse, the colliding tooth is prevented from intersecting with theother tooth while still allowing for limited tooth movement based on thenature of the collision. For example, every manual or input-directedmovement of a tooth could be accompanied by an automatic movement thatforces the tooth along or about a different axis until contact is madewith one or more neighboring teeth. Optionally, the computer provides anoption to select the preferred type of response when a user adjusts thepositions and locations of one or more tooth surfaces.

The third type of collision response described above can be particularlyadvantageous because it can simulate the physical and physiologicalresponse that occurs when two tooth surfaces collide. While two toothsurfaces may be precluded from direct interferences, it is also possiblefor a first tooth surface to deflect out of the way and slide past asecond tooth surface based on the simulated application of forces (forexample, gravity or articulation forces) to the first tooth surface. Inother words, input data can be directed to movement of the first tooththat is permissible even when the first and second virtual teethcollide. However, as a result of the collision, the movement of thefirst tooth can also be restrained along or about a given directionassociated with the simulated application of forces. Some of theseprinciples are at work in the algorithms described below and in FIGS.25-41.

Collision Detection Based on Applied Force

FIG. 25 provides an overall flowchart of an algorithm for detecting andresponding to tooth-to-tooth collisions encountered when moving aparticular tooth surface of interest (i.e. selected tooth) relative toother teeth surfaces. As used herein, the terms “tooth” and “toothsurface” are used interchangeably. For the purposes of collisiondetection, a tooth may include at least a portion of a natural crown,natural root, artificial crown, veneer, inlay, onlay, implant, bridge,partial denture, or appliance attached to the tooth. Further, the terms“intersection” and “collision” are used interchangeably. This algorithmmay be applied to collisions within a dental arch and collisions betweenopposing dental arches. In the flowcharts, underlined text indicates areference to a separate function provided in a separate flowchart anddescribed elsewhere in the specification.

Initially, as shown in Block 200, the computer determines whichneighboring teeth could present possible collisions with the selectedtooth. Generally, these teeth include the mesial and distal neighbors ofthe selected tooth, along with any opposing teeth on the opposite arch.While a tooth generally has at most one mesial neighbor and at most onedistal neighbor, the tooth can have two or more antagonist teeth (i.e.opposing teeth) situated on the opposite dental arch.

In Block 202, the computer selects which of the six axes (i.e. threetranslational axes and three rotational axes) is associated with theapplied force. Proceeding to Block 204, the computer selects thepositive or negative direction along/about which the selected axisrepresents the application of force. For example, the mesial directioncan be defined as a positive direction, the distal direction as anegative direction, the occlusal as positive, gingival as negative, andso forth. Preferably, the standards used for positive and negativedirections are in accordance with those commonly used in orthodonticappliance prescriptions or specifications.

Next, in Block 206, one or more of the axes other than the selectedforce axis can be adjusted. This can be carried out by a user using asuitable user interface. For example, these adjustments can be inputsfrom a tooth adjustment control attached to a 3D dentition surface orsliders in a tooth properties panel. The selected tooth preferably movesby a small increment along or about the manually adjusted axis.

Referring now to Block 208, a function is executed to apply a forcealong or about the selected axis in the selected direction until asingle point of contact with a neighboring tooth is achieved. In otherwords, if the selected tooth is intersecting a neighboring tooth in thedirection of the force, the selected tooth is first moved back until theintersection is eliminated.

In Block 210, the user then has the option of exiting setup mode in thesoftware or changing selections. If either condition holds true, thenthe process returns to Block 206; otherwise, the process ends.

Applying Force Along/About an Axis

FIG. 26 provides a flowchart showing in more detail the function ofapplying force along or about an axis, as represented by Block 208.First, as shown in Blocks 212,214, a suitable translation or rotationincrement is initially provided. In this embodiment, the translation orrotation increment is provided as a function parameter.

Proceeding to Block 216, the computer determines if the selected toothis in collision with any neighboring (mesial/distal/antagonist) teeth.Here, the neighboring teeth considered are the ones previously selectedin Block 200. A Boolean variable, initiallyInCollision, is set to “true”if the selected tooth is in collision with a neighboring tooth and“false” if the selected tooth is not in collision with any neighboringteeth.

In Block 218, an iteration counter is set to 0 and the maximum number ofiterations, maxIterations, is set to some predefined quantity (forexample, 20). Next, the workflow then continues to one or more of Blocks220,222,224. Each of the Blocks 220,222,224 determines if the force axisselected in Block 202 corresponds to one of the three translation axes(mesio-distal, buccolabial-lingual, or occlusal-gingival). If thiscondition is met, then the computer executes a separate function,represented by Block 226,228,230, to determine the respectivemesio-distal, buccolabial-lingual, or occlusal-gingival translation,responsive to the applied force.

If the selected force axis does not correspond to one of the threetranslation axes, then the workflow proceeds to the flowchart shown inFIG. 27. As indicated by Blocks 232,234,236, the computer determines ifthe selected axis is one of the three rotation axes (1^(st) orderrotation, tip rotation, or torque rotation). If one of these rotationaxes applies, then the appropriate 1^(st) order rotation, tip rotation,or torque rotation is then determined according to one of Blocks238,240,242.

As shown in Block 244, the selected tooth is then replaced on thearchform using the most current translation and rotation settings. Thetooth should now have a location or orientation that is adjustedslightly based on the translation or rotation determined in Block226,228,230,238,240,242. Moving to Block 246, the iteration count isincremented by 1. Then, in Block 248, the computer determines if theselected tooth is in a state of collision with any of its neighboringteeth. If so, the Boolean variable inCollision is set to “true”;otherwise it is set to “false.”

Block 250 shows the last step in the iteration, where the computerdetermines if the Boolean values of initiallyInCollision and inCollisionare the same, AND if the maximum number of iterations has not beenreached. If both of these conditions are met, then the workflow returnsback to Block 220 and the process reiterates as described above. If bothconditions are not met, then the process continues to Block 252 of theflowchart in FIG. 28.

Block 252 determines the reason for exiting the iterative loop describedabove in FIGS. 26,27. If the process exited the loop because the valueof inCollision did not change within a reasonable number of iterations,then the process goes to Block 254, where all changes to therotation/translation are undone. Said another way, the Block 254 causesa reversion back to the original value of the respectiveDistanceFromMidline, TranslationNormalToArchform, Eminence,FirstOrderRotation, Tip, or Torque, depending on the selected force axis(see FIG. 25).

If, on the other hand, the value of inCollision changed within areasonable number of iterations (fewer then Maxlteration), then theprocess continues with Block 256. Block 256 determines if the tooth isinitially in collision, based on the value of initiallyInCollision.

If initiallyInCollision is TRUE, then the tooth is taken out ofcollision by undoing the last translation or rotation (set out in Block258), or a reversion back to the previous value of the respectiveDistanceFromMidline, TranslationNormalToArchform, Eminence,FirstOrderRotation, Tip, or Torque, depending on the selected force axis(from FIG. 25). Referring now to Block 260, the tooth is then replacedon the archform with the current location and orientation settings, andthe process moves to Block 262.

If initiallyInCollision is FALSE, then no adjustments to location ororientation are required and the process moves directly to Block 262.

In Block 262, the tooth is moved out of intersection with neighboringteeth. This is described in more detail in a subsequent section.

Determining Translations/Rotations

This section describes six separate flowcharts (FIGS. 29-34) used todetermine each of three possible translations and three possiblerotations according to six degrees of freedom for the selected tooth.

FIG. 29 shows the process of determining translation along themesial-distal axis. Block 264 sets the direction of the movement basedon a combination of three factors: the force direction, whether theselected tooth is in collision, and the quadrant in which the selectedtooth is located. For example, if the selected tooth is in a state ofcollision, the direction will be set to move the tooth away fromcollision. As another example, the direction of positive mesial-distalforce is reversed when crossing over from a left to a right quadrant (orvice-versa) because this traverses the origin of the coordinate systemfor these forces.

Based on whether a positive or negative translation is required, theprocess proceeds to either Block 266 or Block 268 to increment ordecrement DistanceFrom Midline, respectively. Here, the magnitude of theincrement or decrement is previously defined by Block 212 in FIG. 26.

FIG. 30 shows the process of determining translation along thebuccolabial-lingual axis. In this case, Block 270 sets out the directionof movement, as determined by only two factors: the force direction andwhether the selected tooth is in collision. Depending on whether apositive or negative translation is required, the process proceeds toeither Block 272 or Block 274 to decrement or incrementTranslationNormalToArchForm, respectively. The magnitude of theincrement or decrement to TranslationNormalToArchForm is previouslydefined by Block 212 in FIG. 26.

FIG. 31 shows the process of determining translation along theocclusal-gingival axis. Block 276 sets out the direction of movement, asdetermined by the force direction and whether the selected tooth is incollision. Depending on whether a positive or negative translation isrequired, the process proceeds to either Block 278 or Block 280 toincrement or decrement Eminence, respectively. The magnitude of theincrement or decrement to Eminence is previously defined by Block 212 inFIG. 26.

FIG. 32 shows the process of determining first order rotation along theocclusal-gingival axis (or longitudinal axis of the tooth). Block 282sets out the direction of movement, as determined by the force directionand whether the selected tooth is in collision. Depending on whether apositive or negative translation is required, the process proceeds toeither Block 284 or Block 286 to decrement or incrementFirstOrderRotation, respectively. The magnitude of the increment ordecrement to FirstOrderRotation is previously defined by Block 214 inFIG. 26.

FIG. 33 shows the process of determining tip rotation along thebuccolabial-lingual axis. Block 288 sets out the direction of movement,as determined by the force direction and whether the selected tooth isin collision. Depending on whether a positive or negative translation isrequired, the process proceeds to either Block 290 or Block 292 todecrement or increment Tip, respectively. The magnitude of the incrementor decrement to Tip is previously defined by Block 214 in FIG. 26.

FIG. 34 shows the process of determining torque rotation about themesial-distal axis. Block 294 sets out the direction of movement, asdetermined by the force direction and whether the selected tooth is incollision. Depending on whether a positive or negative translation isrequired, the process proceeds to either Block 296 or Block 298 todecrement or increment Torque, respectively. The magnitude of theincrement or decrement to Torque is previously defined by Block 214 inFIG. 26.

Determine if the Selected Tooth is In Collision

FIGS. 35-36 are flowcharts that describe an exemplary process fordetermining if the selected tooth is in collision with a neighboringtooth. In FIG. 35, the type of collision is initially specified, asindicated by Block 300. In this example, this input is provided as afunction parameter, selected from three possible values:CheckMesialNeighbor, CheckDistalNeighbor, and CheckAntagonists.

Block 302 represents a test to determine if there is a collision betweenthe selected tooth and its mesial neighbor. Optionally, and as shown inBlock 302, such a collision exists when the selected tooth is not themesial-most tooth and it intersects its mesial neighbor, or the selectedtooth is a mesial-most tooth and it intersects a mesial-most tooth onthe opposite quadrant (left versus right, and vice-versa).

If the condition is not satisfied, then the process continues on to theflowchart of FIG. 36. If this condition is satisfied, the processproceeds to Block 304, which inquires if the selected tooth is themesial-most in its respective quadrant. If this is not the case, thenthe selected tooth's mesial neighbor is noted as being in collision withthe selected tooth in Block 306—in other words, it is added to theinCollisionWithTeeth list. The process then proceeds to the flowchart ofFIG. 36. If the selected tooth is the mesial-most in its quadrant, thenthe process proceeds to Block 308, which determines the quadrant of theselected tooth. Based on this determination, either the left mesial-mosttooth (Block 310) or the right-mesial most tooth (Block 312) is added tothe inCollisionWithTeeth list.

In FIG. 36, the process continues with Block 314, which checks forcollisions with a distal neighbor, if applicable. If an intersectionbetween the selected tooth and distal neighbor is detected, then thedistal neighbor is added to the inCollisionWithTeeth list (Block 316).Either way, the process then moves to Block 318, where a separatefunction is executed to determine if there are any antagonist teethintersecting with the selected tooth.

Moving on to Block 320, if the selected tooth is determined to intersectwith one or more antagonist teeth and CheckAntagonists is selected, thenany intersecting antagonist teeth are added to the inCollisionWithTeethlist (Block 322). As shown in FIG. 36, whether or not the condition inBlock 320 is satisfied, the process proceeds to Block 324. Block 324determines if the inCollisionWithTeeth list contains any teeth. If yes,the function returns the value TRUE; otherwise, the function returns thevalue FALSE.

Determining Antagonist Teeth intersecting with Selected Tooth

The flowchart of FIG. 37 provides a function determining if anyantagonist teeth intersect with the selected tooth. Block 326 determinesif the selected tooth resides in the upper arch or the lower arch.OpposingArchTeeth is then defined to include all of the teeth in thearch opposite that containing the selected tooth (Blocks 328,330).Proceeding to Block 332, the current tooth is set to be the first toothin the list of OpposingArchTeeth. An iterative process then executes.Block 334 inquires if the current tooth is an actual tooth, and not anull value. Assuming that the current tooth is an actual tooth, Block336 determines if the selected tooth intersects with the current tooth.If so, then the current tooth is added to the list of antagonist teeth(Block 338). Either way, the process continues to Block 340, which setsthe current tooth to the next tooth in the list of OpposingArchTeeth.From here, the process repeats itself starting from Block 334 as shownin FIG. 37 until all teeth enumerated by OpposingArchTeeth have beentested.

Finally, Block 342 determines if any antagonist teeth were found. If so,the function returns the value TRUE (Block 345); otherwise, the functionreturns the value FALSE (Block 343).

Moving Selected Tooth out of Collision with Neighbors

An exemplary process used to move the selected tooth out of a state ofcollision with a neighboring tooth is described in four-part flowchartshown in FIGS. 38-41. To begin, Block 344 determines a tolerance valueto determine the point at which collision is deemed eliminated. In thisexample, the tolerance is a function parameter and is defined such thatcontact between the selected tooth and neighboring teeth is satisfiedwhen the closest distance between the two falls within this tolerance.

In Block 346, various variables are initialized. In the examplepresented, multiplier is set at NULL, currentlyInCollision is set atTRUE, and inCollisionWithTeeth is set at NULL.

Block 348 marks the beginning of a loop that repeats until contactbetween the selected tooth and a neighboring tooth is achieved withintolerance. Movements are then probed according to each of eight types ofmovement, described below.

Block 348 determines if the last movement of the selected tooth changedDistanceFromMidline. If so, then Block 350 is executed, which computesthe appropriate movement increment for the given tooth property. Here,for example, the movement increment could be computed based on twovariables: DistanceFromMidline and PreviousDistanceFromMidline. Asshown, the process then continues with Block 352.

Block 352 determines if the last movement of the selected tooth changedTranslationTangentToArchform. If so, then Block 354 is executed, whichcomputes the corresponding movement increment computed based onTranslationTangentToArchform and PreviousTranslationTangentToArchform.As shown, the process then continues with Block 356.

Block 356 determines if the last movement of the selected tooth changedTranslationNormalToArchform. If so, then Block 358 is executed, whichcomputes the corresponding movement increment computed based onTranslationNormalToArchform and PreviousTranslationNormalToArchform. Asshown, the process then continues with Block 360 in FIG. 39.

Block 360 determines if the last movement of the selected tooth changedEminence. If so, then Block 362 is executed, which computes thecorresponding movement increment computed based on Eminence andPreviousEminence. As shown, the process then continues with Block 364.

Block 364 determines if the last movement of the selected tooth changedFirstOrderRotation. If so, then Block 366 is executed, which computesthe corresponding movement increment computed based onFirstOrderRotation and PreviousFirstOrderRotation. As shown, the processthen continues with Block 368.

Block 368 determines if the last movement of the selected tooth changedTip. If so, then Block 370 is executed, which computes the correspondingmovement increment computed based on Tip and PreviousTip. As shown, theprocess then continues with Block 372.

Block 372 determines if the last movement of the selected tooth changedTorque. If so, then Block 374 is executed, which computes thecorresponding movement increment computed based on Torque andPreviousTorque. As shown, the process then continues with Block 376.

Block 376 determines if the last movement of the selected tooth changedOpposingArchContactOffset. If so, then Block 378 is executed, whichcomputes the corresponding movement increment computed based onOpposingArchContactOffset and PreviousOpposingArchContactOffset. Asshown, the process then continues with Block 388 in FIG. 40.

In Block 388, a function is executed to virtually place the selectedtooth on the archform. Moving to Block 390, the computer then executes aprocess to determine if the selected tooth is in collision withneighboring teeth. The following Block 392 determines if there is achange in the collision status of the selected tooth (i.e. doescurrentlyInCollision=inCollision?) If so, then both the multiplier andcurrentlyInCollision are negated (Block 394).

Finally, Block 396 determines if either the absolute value of themovement is greater than the tolerance or if the selected tooth is stillin collision. If so, then the process reiterates from Block 348 in FIG.38. If not, the function ends.

Computing a Movement Increment for a Given Tooth Property

FIG. 41 is directed to a function that determines the movement incrementused to move the selected tooth out of collision. This function adjuststhe movement increment at each iteration of the loop in FIGS. 38-40 suchthat the selected tooth efficiently converges to a position where it isremoved from collision but maintained “in contact” with a neighboringtooth.

The process begins with Blocks 404 and 406, which provide input as tocurrMovementPropValue and prevMovementPropValue, respectively. These arefunction parameters that represent the current and previous positions ofthe selected tooth with respect to the movement of interest.

If multiplier is undeclared (i.e. multiplier is NULL) (Block 408), thenthe process proceeds directly to Block 416. However, if the multiplieris NULL, then the process proceeds to Block 410 to define this variable.Block 410 determines if the currMovementPropValue is less thanprevMovementPropValue. If so, then the multiplier is set to −1 (Block412) to reverse the direction of movement. Otherwise, the multiplier isset to 1 (Block 414).

Block 416 defines movementAmount as the absolute value of((currMovementPropVal−PrevMovementPropVal)/2), and Block 418 incrementscurrMovementPropVal by multiplier * movementAmount. Then, in Block 420,LastChangedMovementPropVal is set to currMovementPropVal, thus defininga persistent property of the tooth. Finally, the function ends withBlock 422, which returns the new value of currMovementPropVal.

Occlusion Setting

The user proceeds by making adjustments to the tooth surfaces of thedentition surface 100 pursuant to a desired occlusion, as represented byBlock 62 in FIG. 1B. Interactions between teeth of opposing arches canbe treated similarly to interactions between teeth of the same arch.Many of the basic tools and procedures described above for PLACEMENT OFTHE TEETH IN AN ARCHFORM similarly apply; as such, these will not bere-examined here.

In general, setting the occlusion between the upper and lower archesoften begins with defining a proper intercuspation of teeth. Forexample, the orthodontic practitioner may require a Class I molarrelationship, where the buccal groove of the lower first molar toothoccludes with the mesiobuccal cusp of the upper first molar tooth.Whether teeth can be guided to a proper molar relationship can depend onthe archform, the relationship between the upper and lower arch lengths,the individual tooth coordinate systems (i.e. the location andorientation of each tooth), and the size and shape of the teeth. Onceagain, the ideal molar relationship may not be immediately possiblebased on constraints in tooth movement.

In an exemplary embodiment, the user defines an initial arch form,examines arch length for the upper and lower arches, and determines ifthe desired molar relationship is achievable with the specifiedconstraints. For example, if there is an arch length discrepancy, theuser may increase anterior proclination (collective torque of multipleanterior teeth) to change increase the length of upper arch. However, ifthe orthodontic practitioner prescribes a certain overbite or overjet,the user may be completely constrained from making this compromise. Thenneed to look at what other variables can be compromised. If the userdetermines that a required tooth movement is precluded, the user cancommunicate with orthodontic practitioner to get advice.

The size and shapes of teeth are not immutable. For example, the effectsof interproximal reduction can be simulated using an automatic orsemi-automatic process. In some embodiments, the user temporarily pins atooth, such that it stay fixed even when other teeth are adjusted andre-packed. The user can designate the mesial-most teeth in a quadrant asa pinned tooth, and also pin a posterior tooth. The methods describedcan then be used to pack the remaining teeth within the archform whileconstrained by the pinned teeth. Then, after defining an archform forthe rest of the teeth, can distribute the IPR among the remaining teeth.In one embodiment, the IPR is distributed evenly amongst these remainingteeth. Advantageously, the software can compensate for the change intooth width as a result of the first order rotation.

Dental Arch Articulation

The orthodontic digital setup can be refined further in virtual dentalarch articulation as provided in Block 64 in FIG. 1B. Virtualarticulation simulates the temporomandibular joints and the jaws, towhich the upper and lower dental arches are attached. This digitalrepresentation is useful in reproducing the full range of possiblemandibular movements, such as those encountered in chewing motions.

Like the tooth-to-tooth collisions described previously, arch-to-archcollisions can be simulated by applying virtual forces to the teeth. Inresponse to these virtual forces, an arch can be simulated to move in anatural manner that avoids intersection between the upper and lowerdental arches while maintaining contact. Advantageously, software can beused to simulate the physical process of setting an occlusion using anarticulator.

In some embodiments, collision detection occurs between two monolithic(i.e. unsegmented) dental arches. However, the detection of collisionbetween opposing dental arches can also include detecting whether one ormore pairs of opposing teeth are in collision. Alternatively, or incombination, the detection of collision could also include detectingwhether one or more teeth in one arch is in collision with any portionof the second arch.

Such a process is described by way of illustration and example in aseries of interrelated flowcharts, provided below.

Arch-to-Arch Collision Prevention with Applied Force During VirtualArticulation

FIG. 42 is a high-level flowchart describing an exemplary process thatsimulates the movement of a dental arch in response to virtualarticulation of upper and lower dental arches. Block 424 provides forthe selection of one of two axes for the application of a directionalforce. Since this process concerns the movement of arches, notindividual teeth, two possibilities are provided, one translational andone rotational: 1) along the condyle axis, and 2) about the condyleaxis. In Block 426, the direction of the force along/about the aboveselected axis is specified. This is provided as either positive (+) ornegative (−). In this example, a decrease in the gape angle (closing ofthe jaws) about the condyle axis is be represented by a negative value.For movements along the condyle axis, a lateral excursion toward thepatient's left is defined as negative and a lateral excursion toward thepatient's right is defined as positive.

Next, and as provided in Block 428, the user makes an adjustment to anyone of the axes except the axis to which the force is applied. In anexemplary embodiment, this adjustment occurs by manipulating a slider inthe articulator properties panel of the user interface. Possible choicescould include closing the gape, a lateral excursion left, or a lateralexcursion right. The upper arch moves by a small increment along/aboutthe manually adjusted axis.

Block 430 is a function that applies force to the arch along or aboutthe axis, and will be later described in greater detail in FIGS. 43-44.Here, the computer automatically moves the upper arch along/about theselected force axis in the selected direction until a single point ofcontact with the opposing arch is achieved. If any tooth is intersectingan antagonist tooth in the direction of force, the entire arch is firstmoved back until the intersection is eliminated.

The process then continues to Block 432, where the user is given theoption to either exit the current process or change selections. If so,the process ends; otherwise, the process restarts from Block 428.

Application of Forces to Arch Along or About Axis

FIGS. 43 and 44 provide a flowchart of an exemplary process by whichforces are applied to an arch to provide the desired movement.

The process begins with Block 434 and 436, in which TranslationIncrementand RotationIncrement are provided as inputs; here, these are providedas function parameters. While both variables are indicated, the formeris only used for translational axes and the latter is only used forrotational axes. In Block 438, maxIterations is provided as an input.maxIterations sets the maximum number of iterations to prevent run-onarch movements.

Block 440 invokes a function to determine if the selected arch is incollision with the opposing arch and returns either TRUE or FALSE. Block442 sets the variable initiallyInCollision to inCollision and setsiterationCourt to 0.

Block 444 represents the beginning of a loop that is iterated as long asthe collision status of the arch has not changed and the maximum numberof iterations has not been reached. If the selected force axis is thecondyler translation axis (Block 444), then a function is executed todetermine the lateral excursion (Block 446). If the selected force axisis the condyler rotation axis (Block 448), then a function is executedto determine the gape angle (Block 450). Either way, the processcontinues with Block 452, where iterationCount is incremented by 1.

Continuing with FIG. 44, Block 454 executes a function that determinesif the two arches are in collision with each other. IfinitiallyInCollision is equal to inCollision ANDiterationCount<maxIterations (Block 456), then the process returns backto Block 444. Otherwise, it proceeds to Block 458, which determines thereason for termination of the loop. If the loop terminated because themaximum number of iterations was reached, then Block 466 reverses allarticulator setting changes since the start of the function and thefunction ends.

If the loop terminated because of a change in collision state, then theprocess goes to Block 460, which inquires if initiallyInCollision isTRUE. If so, then just the last articulator setting change is undone(Block 462). Finally, Block 464 executes a function that moves the archout of intersection with the opposing arch and the function ends.Further details regarding the function of Block 464 will be addressedlater in FIGS. 46-48.

Determine if Arch is in Collision with Opposing Arch

FIG. 45 provides a function that searches for tooth-to-tooth collisionsto determine if the upper arch is in collision with the lower arch.Initially, Block 468 defines activeArchTeeth as a list of all teethpresent in the active arch. Block 470 then defines a current tooth asthe first tooth in the activeArchTeeth list.

Block 472 determines if the current tooth is an actual tooth, as opposedto a null value. If not, then the function returns the value FALSE. Ifso, then the process proceeds with a function to determine anatagonistteeth in intersection with the selected tooth (see FIG. 37). Block 478then determines if the current tooth intersects with any antagonistteeth. If not, then the current tooth is set to the next tooth in theactiveArchTeeth list, and the process reiterates from Block 472;otherwise, the function returns the value TRUE.

Move Arch out of Intersection with Opposing Arch

An exemplary process used to move the current arch out of intersectionwith the opposing arch is provided by a three-part flowchart shown inFIGS. 46-48.

First, a tolerance is provided in Block 482. This is a functionparameter and is defined such that contact with the opposing arch occurswithin this distance. Certain variables are initialized in Block 484. Inthis example, settingChangeAmount is set to INFINITY, multiplier is setto NULL, currentlyinCollision is set to TRUE, and setMaximumValue is setto TRUE.

Block 486 is the beginning of an iterative loop that is repeated untilcontact between upper and lower arches is achieved within the predefinedtolerance. Block 486 determines if the last movement of the arch was achange to GapeAngle. If so, then the process goes to Block 483, whichexecutes a function to compute the movement increment for a givenarticulator setting (addressed later in FIG. 49). In this case, thearticulator settings are GapeAngle and PrevGapeAngle. As shown, theprocess then continues with Block 490.

Block 490 determines if the last movement of the arch was a change inLateralExcursion. If so, then the process goes to Block 492, whichexecutes a function to compute the movement increment for articulatorsettings LateralExcursion and PrevLateralExcursion. As shown, theprocess then continues with Block 494.

Block 494 determines if the last movement of the arch was a change inRightCondyleAngle. If so, then the process goes to Block 496, whichexecutes a function to compute the movement increment for articulatorsettings RightCondyleAngle and PrevRightCondyleAngle. As shown, theprocess then continues with Block 498 in FIG. 47.

Block 498 determines if the last movement of the arch was a change inLeftCondyleAngle. If so, then the process goes to Block 500, whichexecutes a function to compute the movement increment for articulatorsettings LeftCondyleAngle and PrevLeftCondyleAngle. As shown, theprocess then continues with Block 502.

Block 502 determines if the last movement of the arch was a change inRightBennettAngle. If so, then the process goes to Block 504, whichexecutes a function to compute the movement increment for articulatorsettings RightBennettAngle and PrevRightBennettAngle. As shown, theprocess then continues with Block 506.

Block 506 determines if the last movement of the arch was a change inLeftBennettAngle. If so, then the process goes to Block 508, whichexecutes a function to compute the movement increment for articulatorsettings LeftBennettAngle and PrevLeftBennettAngle. As shown, theprocess then continues with Block 520 in FIG. 48.

Block 520 executes a function that determines if the arch is incollision with the opposing arch (see FIG. 45). Here, if the arches arein collision, then inCollision is set to TRUE; otherwise, inCollision isset to FALSE. Block 522 then determines if the collision status for thearch has changed (i.e. is currentlyinCollision no longer equal toinCollision?). If so, then Block 524 reverses the values of bothmultiplier and currentlyinCollision.

The process proceeds to Block 526 to determine if point contact may havebeen established. If the absolute value of movementAmount is greaterthan the tolerance OR currentlyinCollision is TRUE, then such contacthas not been established and the cycle reiterates from Block 486.Otherwise, the process ends.

Compute Movement Increment for a Given Articulator Setting

FIG. 49 is directed to an exemplary function that determines themovement increment used to move the arch out of collision. This functionadjusts the movement increment at each iteration of the loop in FIGS.46-48 such that the arch efficiently converges to a position where it isremoved from collision but maintained in contact with the opposing arch.

Blocks 534 and 536 are function parameters providing the current andprevious articulator settings, respectively. Block 538 determines if themultiplier has been declared in the calling function. If not, themultiplier is defined as being either −1 (Block 542) or 1 (Block 544),depending on the relative values of currArticulatorSetting andprevArticulatorSetting (Block 540), thereby indicating the properdirection of movement.

The process then moves to Block 546, which defines the movementAmount asthe absolute value of((currArticulatorSetting−prevArticulatorSetting)/2). Block 548 thenincrements the current articulator setting by an amount defined bymultiplier * movementAmount. Block 550 setsLastChangedArticulatorSetting to currArticulatorSetting, a value whichpersists as a property of the articulator. Finally, Block returnscurrArticulatorSetting as an update to the input value of the function.

FIGS. 50 and 51 show a user interface displaying upper and lower archesin a virtual articulator 1500 in open and closed positions,respectively. The articulator 1500 includes an upper section 1502 and alower section 1504, along with a pair of slidable ball joints 1506,1507that connect the upper and lower sections 1502,1504 to each other. Thejoints 1506,1507 each reside in a corresponding pair of grooves 1508(only one of which is visible in FIGS. 50 and 51) located on the lowersection 1504.

Upper and lower arches 1510,1512 of the dentition surface 100 floatbetween the upper and lower sections 1502,1504. Each of the arches1510,1512 are virtually associated with the respective sections1502,1504 such that they move in synchrony with each other.

Because the joints 1506,1507 are situated in the grooves 1508, the uppersection 1502 has the freedom to not only pivot between open and closedpositions (as defined by the gape angle) but also provide lateralexcursion where one arch slides left or right relative to the otherarch. In FIG. 51, the joint 1506 has travelled in the distal directionalong a portion of the groove 1508, while the opposite joint 1507remains fully engaged in the mesial end of the opposite groove 1508. Asa result the articulator 1500 shows the effect of relative lateralexcursion of the lower arch 1512 toward the patient's left against theupper arch 1510.

FIG. 51 shows an advantageous application of the collision detectiontool described above under the section “TOOTH PLACEMENT IN ARCHFORM.” Asthe teeth of the lower arch 1512 collide with the teeth of the upperarch 1510, tooth surfaces 1514,1516 are highlighted by suitable color orshading, thereby indicating to the user where interferences occur over afull range of jaw movements.

Described below are further embodiments provided herein:

A) A method of defining a coordinate system for a virtual toothcomprising:

displaying the tooth to a user in a three-dimensional viewingenvironment;

receiving user input to determine the placement of first and secondcrosshairs on a view plane such that the crosshairs appear to intersectat a perceived reference point on the tooth;

receiving additional user input to rotate at least one crosshair untileither the first crosshair aligns with a perceived occluso-gingival axisof the tooth or the second crosshair aligns with a perceivedmesio-distal axis of the tooth;

determining a normal vector for a portion of the tooth surfacesurrounding the reference point; and

computing a coordinate system using the reference point as a positionreference and using one of the crosshairs and the normal vector from thetooth surface as an orientation reference.

B) The method of embodiment A, wherein the user input to rotate one orboth crosshairs is provided by rotating a scroll wheel of a pointingdevice.C) The method of embodiment A, wherein the user input to rotate one orboth crosshairs comprises user input to rotate the first crosshairrelative to the second crosshair.D) The method of embodiment C, wherein the user input to rotate thefirst crosshair relative to the second crosshair is provided by rotatinga scroll wheel of a pointing device while in a temporary user inputmode.E) The method of embodiment A, wherein computing a coordinate systemfurther comprises defining the origin of the coordinate system as theperceived reference point on the tooth.F) The method of embodiment A, wherein computing a coordinate systemcomprises:

defining a sagittal reference plane based on the intersection of thefirst crosshair and an eye point of a virtual camera in the viewingenvironment;

identifying a polyline where the sagittal plane intersects the toothsurface; and

defining the origin of the coordinate system as the occlusal-most pointof the polyline.

G) The method of embodiment A, wherein determining a normal vector for aportion of the tooth surface surrounding the reference point comprises:

defining an array of points in a plane parallel to the view plane of avirtual camera in the 3D viewing environment;

projecting said points onto the surface of the tooth along a linepassing through an eye point of the virtual camera and the referencepoint of the tooth;

determining additional normal vectors for each projected point at thesurface of the tooth; and

computing the normal vector based on the average of the additionalnormal vectors.

H) The method of embodiment G, wherein the array of points lie in areference plane parallel to the view plane.I). The method of embodiment A, wherein determining a normal vector fora portion of the tooth surface around the reference point comprises:

identifying a normal vector at the reference point of the tooth;

defining an array of points in a plane that is normal to said normalvector;

projecting said points onto the surface of the tooth along said normalvector;

determining additional normal vectors for each projected point at thesurface of the tooth; and

computing the normal vector based on the average of the additionalnormal vectors.

J). The method of embodiment I, wherein a plane parallel to the normalvector at the reference point of the tooth defines the face of acylinder and the array of points in said plane is bounded by the radiusof the cylinder.K) The method of embodiment A, wherein determining the normal vectorcomprises:

identifying an initial normal vector at the reference point of thetooth;

defining an array of points lying in a reference plane perpendicular tothe initial normal vector;

projecting the array of points onto the tooth along the initial normalvector;

determining additional normal vectors at each projected point on thetooth; and

computing the normal vector based on the average of the additionalnormal vectors.

L) The method of embodiment A, wherein determining the normal vectorcomprises:

defining a geometric shape enclosing a portion of the tooth surroundingthe reference point; and

computing the normal vector based on an average normal vector for theenclosed portion of the tooth.

M) The method of embodiment L, wherein the enclosed portion of the toothis represented by a plurality of polygons and the average normal vectoris computed by averaging the normal vectors of the polygons.N) The method of embodiment L wherein the enclosed portion of the toothis represented by a plurality of polygons, and the average normal vectoris computed by averaging the normal vectors of the polygon vertices.O) A method of resolving a collision between first and second virtualteeth comprising:

simulating a force applied to the first tooth along or about a firstaxis;

receiving input directed to movement of the first tooth relative to thesecond tooth along or about a second axis; and

allowing tooth movement in the direction of the input-directed movementwhile limiting tooth movement in the direction of the applied forcebased on the collision.

P) The method of embodiment O, wherein the movement of the first toothalong or about the second axis is determined based on user-directedmovement.Q) The method of embodiment O, wherein the input-directed tooth movementcomprises a predetermined movement of the first tooth along or about thefirst axis accompanied by an automatic movement of the first tooth alongor about the second axis.R) The method of embodiment O, wherein the first and second teethmaintain contact with each other during tooth movement.S) The method of embodiment O, wherein the first and second teeth are inthe same arch.T) The method of embodiment O wherein the first and second teeth are inopposing arches.U) The method of embodiment T, wherein the relative movement of thefirst and second teeth is derived from a virtual articulation of theopposing arches.V) The method of embodiment U, wherein one or both of the first andsecond axes is a condyle axis.W) The method of embodiment O, wherein the allowed tooth movementcombines translational or rotational components of the first axis withtranslational or rotational components of the second axis to provide apath of movement that varies in two dimensions simultaneously.X) The method of embodiment O, wherein the tooth further comprises atleast a portion of a natural crown, natural root, artificial crown,veneer, inlay, onlay, implant, bridge, partial denture, or applianceattached to the tooth.Y) A method of resolving a collision between opposing virtual dentalarches comprising:

simulating a force applied to the first arch along or about a firstaxis;

receiving input directed toward movement of the first arch relative tothe second arch along or about a second axis; and

allowing arch movement in the direction of the input-directed movementwhile limiting arch movement in the direction of the applied force basedon the collision.

Z) The method of embodiment Y, wherein the movement of the first archalong or about the second axis is determined based on the user-directedmovement.AA) The method of embodiment Y, wherein the input-directed arch movementcomprises a predetermined movement of the first arch along or about thefirst axis accompanied by an automatic movement of the first arch alongor about the second axis.BB) The method of embodiment Y, wherein the opposing arches maintaincontact with each other during the arch movement.CC) The method of embodiment Y, wherein the relative movement of thefirst and second arches is derived from a virtual articulation of theopposing arches.DD) The method of embodiment Y, wherein the simulated application offorce occurs along or about a predetermined condyle axis.EE) The method of embodiment Y, wherein detecting the collision betweenopposing virtual dental arches comprises detecting whether one or morepairs of opposing teeth are in collision.FF) The method of embodiment Y, wherein detecting the collision betweenopposing virtual dental arches comprises detecting whether one or moreteeth in the first arch is in collision with any portion of the secondarch.GG) The method of embodiment Y, wherein the allowed arch movementincludes translational or rotational components of the first axis andtranslational or rotational components of the second axis therebyproviding a path of movement that varies in two dimensionssimultaneously.A1) A method for recognizing a tooth surface, comprising:

receiving input specifying a point on a dentition surface;

deriving an auxiliary surface using the specified point, wherein atleast some portions of the dentition surface intersecting the auxiliarysurface are defined as part of the tooth surface; and

analyzing the dentition surface along a plurality of paths outwardlyextending from the auxiliary surface along the dentition surface toidentify a boundary separating the tooth surface and surroundingdentition surfaces.

A2) A method for recognizing a tooth surface, comprising:

receiving input specifying a point on a dentition surface;

deriving a virtual closed surface based on the specified point, whereinportions of the dentition surface located within the closed surface aredefined as part of the tooth surface; and

analyzing the dentition surface along a plurality of paths outwardlyextending from the closed surface along the dentition surface toidentify a boundary separating the tooth surface and surroundingdentition surfaces.

A3) A method for recognizing a tooth surface, comprising:

providing a virtual dentition surface representing a shape of at leastpart of a dentition;

determining a point on the dentition surface;

creating a virtual auxiliary surface around the point, such that theauxiliary surface and the dentition surface intersect with each other toform a virtual intersection line on the auxiliary surface and thedentition surface;

designating a portion of the dentition surface which is enclosed by theintersection line as a partial tooth surface;

recognizing a tooth boundary on the dentition surface;

designating the portion of the dentition surface between the toothboundary and the intersection line as a second partial tooth surface;and

forming a tooth surface from the first and second partial toothsurfaces.

A4) The method of embodiment A3, wherein automatically recognizing atooth boundary on the dentition surface comprises analyzing thedentition surface along a plurality of paths outwardly extending fromthe auxiliary surface.

A5) The method of embodiment A1, A2, or A3, wherein the auxiliarysurface is generally a sphere.

A6) The method of embodiment A1 or A2, wherein the surrounding dentitionsurfaces comprise representations of gingival tissue.

A7) The method of embodiment A1 or A2, wherein the surrounding dentitionsurfaces comprise representations of one or more adjacent natural orartificial teeth.

A8) The method of embodiment A1 or A2, wherein receiving input comprisesreceiving user input.A9) The method of embodiment A5, wherein the sphere is generallysymmetrically disposed about the specified point.A10) The method of embodiment A1, A2, or A3, further comprisingreceiving input specifying a tooth type, wherein the auxiliary surfacehas a pre-determined diameter that varies according to the specifiedtooth type.A11) The method of embodiment A10, further comprising adjusting thelocation of the sphere based upon additional input.A12) The method of embodiment A10, further comprising adjusting the sizeof the sphere based upon additional input.A13) The method of embodiment A1, A2, or A3, further comprisingdisplaying the virtual auxiliary surface and dentition surfaceconcurrently.A14) The method of embodiment A1, A2, or A3 wherein analyzing thedentition surface comprises determining a local concavity of thedentition surface.A15) The method of embodiment A14, wherein the local concavity is atleast partially determined by a numeric characteristic of one or moresurface triangles.A16) The method of embodiment A15, wherein the numeric characteristic isselected from: an angle formed between the surface triangle and aneighboring surface triangle, aspect ratio, internal angle, and area.A17) The method of embodiment A15, wherein identifying a boundarybetween the tooth surface and the surrounding dentition surfacecomprises identifying a chain of contiguous boundary triangles, whereinthe numeric characteristic of each boundary triangle falls within apredetermined range of values.A18) The method of embodiment A17, wherein identifying a boundarybetween the tooth surface and the surrounding dentition surfacecomprises fitting a spline to at least some of the boundary surfacetriangles.A19) The method of embodiment A17, wherein each boundary triangle has amaximum of two neighboring boundary triangles that also have a numericcharacteristic falling within a predetermined range of values.A20) The method of embodiment A19, wherein the numeric characteristic isan angle formed between the boundary triangle and a neighboring surfacetriangle.A21) The method of embodiment A15, wherein identifying a boundarybetween the tooth surface and the surrounding dentition surfacecomprises:

proposing a set of surface triangles with a numeric characteristicsatisfying a certain threshold value;

determining that the set of surface triangles do not provide anacceptable gingival boundary; and

iteratively decreasing the certain threshold value until an acceptablegingival boundary is provided.

A22) An orthodontic appliance made using the method of any of the aboveembodiments.A23) A computer program, residing on a tangible storage medium, forrecognizing a tooth surface, the program comprising executableinstructions operable to cause a computer to:

receive input specifying a point on the dentition surface;

derive a virtual closed surface based on the specified point, whereinportions of the dentition surface located within the closed surface aredefined as part of the tooth surface; and

analyze the dentition surface along a plurality of paths outwardlyextending from the closed surface along the dentition surface toidentify a boundary separating the tooth surface and surroundingdentition surfaces.

A24) A computer program, residing on a tangible storage medium, forrecognizing a tooth surface, the program comprising executableinstructions operable to cause a computer to:

receive input specifying a point on the dentition surface;

derive a virtual closed surface based on the specified point, whereinportions of the dentition surface located within the closed surface aredefined as part of the tooth surface; and

analyze the dentition surface along a plurality of paths outwardlyextending from the closed surface along the dentition surface toidentify a boundary separating the tooth surface and surroundingdentition surfaces.

A25) A computer program, residing on a tangible storage medium, forrecognizing a tooth surface, the program comprising executableinstructions operable to cause a computer to:

provide a virtual dentition surface representing a shape of at leastpart of a dentition;

determine a point on the dentition surface;

create a virtual auxiliary surface around the point, such that theauxiliary surface and the dentition surface intersect with each other toform a virtual intersection line on the auxiliary surface and thedentition surface;

designate a portion of the dentition surface which is enclosed by theintersection line as a partial tooth surface;

recognize a tooth boundary on the dentition surface;

designate the portion of the dentition surface between the toothboundary and the intersection line as a second partial tooth surface;and

form a tooth surface from the first and second partial tooth surfaces.

All of the patents and patent applications mentioned above are herebyexpressly incorporated by reference. The embodiments described above areillustrative of the present invention and other constructions are alsopossible. Accordingly, the present invention should not be deemedlimited to the embodiments described in detail above and shown in theaccompanying drawings, but instead only by a fair scope of the claimsthat follow along with their equivalents.

1. A computer-implemented method of simulating a collision between afirst virtual tooth and a second virtual tooth comprising: receivinginto the computer digital data defining, in three-dimensional space, thefirst virtual tooth and the second virtual tooth; receiving permissiblemovement input data directed to permissible movement of the firstvirtual tooth along or about a first axis; using the computer'sprocessor, simulating, in three dimensional space, bringing the firstvirtual tooth into contact with the second virtual tooth whileconstraining movement of the first virtual tooth based on thepermissible movement input data; and displaying, in a user interface ofa display, data resulting from the simulation.
 2. Thecomputer-implemented method of claim 1, wherein the data resultingcomprises a three dimensional rendering of one or both of the first andsecond virtual tooth positions resulting from the simulation.
 3. Thecomputer-implemented method of claim 1, wherein the permissible movementinput data is used to define a second axis along or about which themovement of the first tooth is permitted, wherein the second axis is acondyle axis.
 4. The computer-implemented method of claim 3, wherein thesecond axis is an axis along or about which the movement of the firsttooth is constrained.
 5. The computer-implemented method of claim 3,wherein simulating comprises simulating a force applied along or aboutthe second axis.
 6. The computer-implemented method of claim 5 whereinthe simulation restrains movement of the first virtual tooth or thesecond virtual tooth along or about the second axis.